Fredericka L. White-Soso, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26568 Issued in CA

Practice address

562 14TH St
Oakland, CA 94612-1443

Phone

(510) 496-3475

Fax

(510) 496-3476

NPI assigned

Oct 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ricka L. White-Soso Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment
• FLW Living Well Services

  • Clinical Social Worker
  • Vallejo, CA
  • NPI 1063334944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1457540353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10092",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946100092",
            "telephone_number": "510-496-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121443",
            "telephone_number": "510-496-3475",
            "fax_number": "510-496-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-SOSO",
        "first_name": "FREDERICKA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKA",
            "last_name": "WHITE-SOSO",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "L.C.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suzanne P Whitcomb, PT
• Tiffany Ann White Bear, RN
• Suhailah White-Anderson
• Makia Rene White-Goines, RN, MSN, PHN
• Chaleen White-Leach
• Ajene White, M.S
• Amanda White, ASW 100342
• Breana Mercedes White
• Briana White
• Catherine Corcoran White

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.